DR. JAMES MARSHALL BRENT II MD
NPI 1730883935
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 30, 2023PECOS Enrolled
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James Marshall Brent Ii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES MARSHALL BRENT II MD (NPI 1730883935) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730883935
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAMES MARSHALL BRENT IICredential: MD
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468
Sole ProprietorNo
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1730883935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

611 E DOUGLAS RD STE 407, Mishawaka, IN 46545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. James Marshall Brent Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730883935, enumerated as an "individual" on March 30, 2023.

The provider is located at 611 E DOUGLAS RD STE 407 MISHAWAKA, IN 46545 and the phone number is (574) 335-6500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.